Cleaning your hose gives you an opportunity to examine it for tears and cracks clearly; and know when exactly to replace it. The cushion will hug the nose and leak will be minimal. Discover how DreamWear helped Cheryl, Ron and Brent achieve a good nights sleep. 5. DreamWearnasal comes in 3 frames & 4 cushion sizes. Data analysis at 30 days of use of 2015 Philips sponsored patient preference trial (n=98). It connects to the existing loops on themaskframe. Level of water in the humidifier 4. Not try notplace head in in middle of pillow but face head away from either end of pillow if that makes sense, this less risk to prevent of air breather stream of air from facing blowing into pillow which creates the air/leak noise from air contacting the pillow. According to a recent Philips survey, US sleep apnea patients say the top challenges to using CPAP therapy are that the mask can leave red marks on the face (40%) and the hose gets in the way (42%). I got the DW Full Face Mask Trial Kit to try. I am not aware of any noise, and sleep well. Is there anything I can do or can someone recommend an alternative? Reimbursement decisions and timing are always dependent on your insurance provider. Im now using a ResMed Airfit F20 with a. I used this mask for a month and a half, all the time experiencing a variety of problems, including leakage, problems getting the mask properly seated under my nose, marks left on my face in a variety of places, and feeling like my mouth was being squeezed together. Any other users have this issue? Have you tried cutting that strip ?? Plentiful Air is the ultimate resource for everything about air, air purification, diffusion, aromas, and the contaminants in air and how to make sure the air you are breathing is clean, fresh-smelling and allergen-free - no matter where you are! I need the small frame, but maybe need a medium cushion. Suggestions? Our recent survey highlights the challenges that therapy users are experiencing all over the world and validates the work Philips has been doing to help them to improve their quality of life.. by realjohn74 Sat Oct 24, 2015 9:44 am, Post Press the tabs back against the fabric to reattach. The only part Im having to get used too is the mask touching the bridge of my nose. For easy orientation note the L & R symbol on the arms. AutoPAP 11-20 cms. My wife says that there is a loud "bubbling" noise and "swishing" sound after I go to sleep. Philips Respironics Mask Selector is rooted in science and data: -Pioneering tool for achieving CPAP mask personalization -Proprietary software based on over 10 years of facial scanning research for mask design -Mask type, sizing and fitting algorithm built upon a wide range of ethnicities and geographies -Ask your home healthcare equipment provider if they are a certified provider of this service. If you notice redness or sores on your face, youre likely overtightening your mask. It has leaks caused by seal deterioration in the mask, Less discomfort on face, nose and nostrils, More satisfied with how well it stays in place with they sleep, Innovative design prevents red marks, discomfort or irritation on the nose bridge, Preferred for fit and comfort over other leading full-face masks, Find Philips sleep therapy products near you. Any suggestions??? Keep your humidifier filled to the adequate level - if you don't, you will have a lot of gurgling sounds. I have found that when you find a mask that works for you without many leaksStick with it! Prescribed masks include ResMed Airfit N10, N20, Mirage Fx, Philips Wisp, Pico, ComfortGel Blue, F&P Eson & Eson 2 2. Philips Respironics used the companys proprietary design tools to analyze facial data from thousands of 3D scans to create the design. Pillows preference trial with n = 127. If the mask is too loose, you may find yourself waking up without it and having no idea how you got it off. I did love the hose on top but could not get a fit that did not leak. I took the mask off after a couple hours just so I could sleep. I tried the Dreamwear and had leaks when I sleep on my side. Please refer to the instruction for use for more detailed information regarding the use of your device. Wrapping the CPAP hose to ensure a consistent supply of heated air. Ask your physician or sleep therapist about DreamWear today. 1. I have no idea what the "bubbling" might be but the "swishing" could be the vented air bouncing off something. To get a better seal on your CPAP mask, set the air pressure settings to the recommended levels, clean and replace your CPAP equipment parts as required, replace your head mask gear from time to time, run a mask seal test, and change the mask. You can also watch the how tosize & assemble the maskvideo on YouTube. Sounds like you are getting water in the hose, we call it rainout. Try adjusting your mask until you no longer hear the noise. Patient Preference study with DreamWear Nasal with original headgear users; (n=140), Jan/March 2019, at 30 days versus the original DreamWear nasal mask headgear. Ive tried to adjust looser but it leaks, Ive tried different size cushions nothing worked so i have to live with the pain. Follow the insurers instructions and submit all the documents. When it comes to sleep apnea, the fit of a mask can make or break a good night's sleep. Maybe check the connect between the hose & the face tubes, you may not have the elbow clicked in properly, Early days. how tosize & assemble the maskvideo on YouTube, how to disassemble & clean the mask video on YouTube. Disconnect your CPAP mask from the hose while leaving your CPAP machine on and the hose connected. From my place next to her, it doesn't sound loud at all, so the noise must be is traveling through her skull either from the tubing on the sides or through her face. I don't really notice any noise with it unless the vented air hits something. I want s refund. However, during use a CPAPs mask may begin to make gurgling, popping, or whistling noises. Note: At no time should the nose be inside the cushion opening. Minimize sweat, water rainout, and noisy air leaks with our breathable liners for your specific CPAP cushion in conjunction with proper mask fitting and mask liner installation. 1. Most air purifiers cannot remove carbon dioxide from the air, because it is too small. Resmed AirSense 10 Autoset for her w/humid air/heated Humidifier. My DreamWear mask leaks, how can I fix it? Veramyst. At times the magnetic connections would come off in the middle of the night. The DreamWear mask hose fitting is on top of my head. Sometimes, if you do not clean your CPAP hose regularly, it can become damaged. Place your liner directly on top of the mask cushion, lean forward to face downward, and place your nose and mouth into the lower half of the liners hole. Any advice for me? Prescribed masks include ResMed Airfit N10, N20, Mirage Fx, Philips Wisp, Pico, ComfortGel Blue, F&P Eson & Eson 2 , Data analysis of Aug 2017 Patient Preference trial where n = 85 and prescribed masks include Resmed Airfit F10 and F20, Respironics Amara View and F&P Simplus.. Waking up to a dry mouth or sore throat means its leaking and needs replacement. Design claim - The design of the mask is such that it does not contact the nasal bridge. by PEF Sat Apr 02, 2016 9:49 am, Post I think I like it except that there are leaks during the night that I dont understand. Your mask cushion may be worn out and need replacing. 5. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'plentifulair_com-box-4','ezslot_2',108,'0','0'])};__ez_fad_position('div-gpt-ad-plentifulair_com-box-4-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'plentifulair_com-box-4','ezslot_3',108,'0','1'])};__ez_fad_position('div-gpt-ad-plentifulair_com-box-4-0_1');.box-4-multi-108{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:250px;padding:0;text-align:center!important}While humidification might improve your comfort when using the CPAP machine, it can also generate condensation in your hose and water in your mask, resulting in popping noises. 3. Original headgear refers to the slit headgear design on DreamWear UTN nasal mask. However, the DreamWear full face nasal opening is a different design and shape than the Amara View opening and the two masks size differently. Make sure your machine is placed below your bed level or route your hose up over your head on the headboard of the bed. Russell holds a Bachelor of Science (Environmental and Marine Geoscience) with Class I Honors. Loop the tab with the L symbol through the left side loop on the frame and R on the right side. The DreamWear system of masks with the no hose nose design lets you sleep how you want. Maybe a mask that covers half the nose and eliminate this little flap they would have the perfect mask. Dry eyes from pressurized air blowing into them. by englandsf Sat Oct 24, 2015 2:56 pm, Post Consumers must consult their provider before making adjustments. Convenience: The new full face cushion is one of three available for the DreamWear mask system, which directs airflow through the frame and removes the hose from the front of the face, giving patients more freedom to sleep comfortably in any position they desire. CPAP Software: SleepyHead However, since this is such a different design, it may take some people some time to get used to the difference in the noise. You are probably right. That is pretty much what my husband keeps telling me. For instance, DreamStation Auto CPAP machine is the quietest CPAP machine while Dreamstation go CPAP is one of the loudest CPAP machines. Dreamwear Issues. They are driving me crazy and cant find any suggestions on how to deal with the issue. Air pressure is required to keep the airways open. by Janknitz Sat Apr 02, 2016 10:23 pm, Post To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. First night, wife said I was actually snoring in the maskslightly increasing DreamStation pressure and setting pressure to Auto got rid of that, but, I still have dry mouth. Then, the electric power went off. Manage Settings To adjust the mask, peel the headgear tabs away from the fabric. Make sure that your mattress offers adequate support for side sleeping so you can rest comfortably throughout the night. Find your claim form and complete it with your insurers requirements. 5. Hi Sue, I Think the Dreamwear nasal mask is great, But first time it did quite annoy but more as original Medium frame mask was wrong size to big and loose fit, eventually tried the small size frame and fits good, while occasionally hear air sound, put finger over the mask air breather hole to check and if cant hear with finger on breather hole, telling mask leaking need to resit other wise just slightly move head on pillow and noise will go away, I believe is the air from breather facing on to the pillow but do rarely now have issues with it anymore. to remove the mask tube from the hose, all the time unable to see what I am doing and working overhead. Getting started You are about to visit a Philips global content page. There is no indication of condensation in the hose ( although I do not have a heated hole). If appropriately sized and fitted, no mask should cause pain or discomfort. Clogged filters will make a loud noise as the CPAP machine will strive harder to cycle air. Fold the bottom part of this page on the dashed line. Are the flaps in the mask necessary, or can I remove them? Compatibility: Fits the Philips Respironics DreamWear Full Face CPAP Masks - Medium Wide. My AHI at my sleep study was over 120, since the CPAP therapy its rarely over 1 and lot of the time zero. Follow the instruction for use manual for more details. Note: Do not overtighten the headgear. Cut along the dotted line around the fitting gauge. In clinical trials, here is how users described the DreamWear Full face mask as compared to their prescribed mask: Your CPAP supplies are covered by Insurance, Medicare and Medicaid, as long as a physician determines that you require PAP therapy and subject to the payors replacement schedules. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. DreamWear is a sleep apnea mask that was radically redesigned with patient comfort top of mind. I have the same problem to the point where is has caused a slight infection. Set to dry and if there happens to be any remaining moisture in the tube before therapy is started, connecting it to the CPAP with pressure can help to remove this. According to the American Academy of Sleep Medicine, more than 25% of all adults aged 30 to 70 years suffers from sleep apnea, a common sleep disorder managed with Continuous Positive Air Pressure (CPAP) therapy. Resmed Airfit P10 is a very quiet nasal pillow mask that is highly recommended. With its under-the-nose cushion design, the Amara View offers minimal contact by covering less of the face when compared to other leading full face masks. Replacing your mask Replacing your equipment is an important part of being successful with your sleep therapy. Why is it that a person measures one size on the sizing gauge but works better with another size cushion? Some nights it would wake me up because the water would start filling my mask. The most common cause of a seal leak is facial moisture, which causes mask slippage. Patient Preference study with DreamWear Nasal with original headgear users; (n=140), Jan/March 2019, at 30 days versus the original DreamWear nasal mask headgear. Additionally, 35% of US patients say traditional masks limit their range of motion, and on a global level, 3 in 5 respondents (63%) said they noticed they had a tendency to breathe through their mouth before being tested for sleep apnea.1 Philips recognized these challenges in designing this mask as a solution. Whole house fans are a cheaper and more energy-effective alternative to HVAC systems, and are used across the country for cooling and ventilation. Ive only had my CPAP a week but I found when I hear the popping sound its water in my hose. My CPAP machine is on the floor below my bed. I use the same type of hanger with my AirFit P10 and adjust it so that when I am on my back there is a loop hanging down that doesn't quite touch my body. Check The Fit of Your CPAP Mask. Using a heated tube or insulating the CPAP tubing with a cloth. I woke up around 4 am with the mask making noise and the head strap at the top of my head so that the mask was almost off. Find your claim form and complete it with your insurers requirements. Resmed Airfit P10 is a very quiet nasal pillow mask that is highly recommended. Therefore, your DreamWear Nasal Under the Nose Headgear should be replaced every six months. Your CPAP mask will make a gurgling noise in response to this condensation in the mask and tubing. I ordered the Dreamwear Full Face and during the fitting process it doesnt feel like I can exhale like I can with the Forma, it feels like there is too much restriction. The full face mask is well designed except for the two exhaust ports on the front of the mask. This article will take you through the reasons why your CPAP mask could be making popping, gurgling, or whistling noises, how to diagnose each cause, and step to step instructions on how to fix each issue. How do I know I am putting on the headgear with arms correctly? Prescribed maskes include ResMed Airfit PIO, P30i, Swift Fx, F&P Brevida, Philips DeamWear Gel Pillows, Nuance / Pro. Yeah not so much. Humidifier: None To adjust the mask, peel the headgear tabs away from the fabric. by nanwilson Sat Oct 24, 2015 9:56 am, Post 2. To replace your CPAP hose, you will need to remove the older one by pulling it out from your CPAP mask. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'plentifulair_com-leader-4','ezslot_14',113,'0','0'])};__ez_fad_position('div-gpt-ad-plentifulair_com-leader-4-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'plentifulair_com-leader-4','ezslot_15',113,'0','1'])};__ez_fad_position('div-gpt-ad-plentifulair_com-leader-4-0_1');.leader-4-multi-113{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:250px;padding:0;text-align:center!important}One reason for gurgling noises in your CPAP mask is the wrong humidifier settings. This means if i wish to walk away from the machine while wearing the mask I have to struggle pulling and twisting Adhering to CPAP therapy is challenging and the DreamWear system of CPAP masks. by LSAT Sat Apr 02, 2016 9:10 am, Post Small beads of water can gather and drip onto your face as a result of this, resulting in a CPAP rainout. Click here for important information about the recall of certain Philips Respironics Sleep and Respiratory Care devices. by PEF Sat Apr 02, 2016 2:30 pm, Post If that doesn't work, it may be time to find a new mask. If there are any holes, water will leak out. The frame size indicator is on the top of the frame behind the elbow connection. The water level in a humidifier will decrease over time as it is utilized. If you are experiencing leaks with themask,contact your local homecare provider to trya smaller frame and/or cushion size. Cant wait to go to bed tonight. Full face masks cover your nose and mouth, while nasal masks merely cover your nose, and nasal pillow masks are smaller than nasal masks but still provide a high level of openness and visibility. The CPAP tubing is the source of the majority of whistling issues, as hoses are prone to minor holes from natural wear and tear. Any solutions? Prescribed masks include ResMed Swift FX, ResMed Mirage FX, Philips Wisp, and ResMed P10. Adjust your CPAP equipment settings with the help of your sleep specialist. 5 steps for a comfort fit 1. Please refer to the instruction for use for more detailed information regarding the use of your device. A Google Certified Publishing Partner. Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies. RE: Dreamwear nasal mask is noisy. Philips Respironics Mask Selector is rooted in science and data: -Pioneering tool for achieving CPAP mask personalization, -Proprietary software based on over 10 years of facial scanning research for mask design, -Mask type, sizing and fitting algorithm built upon a wide range of ethnicities and geographies. Condensation is unavoidable when cold air encounters warm air. The hose connection, to the mask, has a push on connection If the mask is too small, the frame will sit too close to the eyes. Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning . Over time, your CPAP mask will begin to break down due to everyday use. Im now using a ResMed Airfit F20 with a memory foam cushion with an expensive pillow designed for CPAP use. In clinical trials, heres how users described the DreamWear Nasal mask as compared to their prescribed mask: More freedom of movement1 More comfortable1 Easier to use1 Like wearing nothing at all1. Overall good product once tweaked. Whistling noises can emerge from your CPAP mask and machine if the mask does not fit properly. With the tubing right next to the ear, will DreamWear Full Face be noisier than other masks? Hove not had this problem with other masks or nose pillows. Its possible that its not set up correctly, and this could result in leaks that make a hissing sound when inhaled. Click here for important information about the recall of certain Philips Respironics Sleep and Respiratory Care devices. Place the fitting gauge on your nose as shown in the picture below. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Nasal cradle masks A CPAP mask can produce popping, gurgling or whistling sounds. Tried one night so sleep at all switched back to my old resmed mirage fx both of these have leaks whether I use tight or looser So unfair when I wanted to try it out would have cost me $105 for a week cost of mask was $160 more wasted money also tried fullface resmed FX 20 no good so im back to MirAGE FX and chinstrap Im a pensioner so not happy with the wasted money Dry mouth after 4 hrs as well using humidifier and climate line. Sex: Male Thats because mask sizing varies by brand, and measurement guides frequently dont specify where to start measuring. i am glad i am not alone .. i like the mask so as i dont get air up in my eyes .. but damn all night long the under the nose .. it hurt so bad i finally had to get up .. and also the air that blows up in your nose also what is it that the small head rear is soooo big .. this company needs to resize for smaller heads and the mask hurts under the nose i am calling my doctor to see what else is availablie .. With this I found finally a mask that allows me to sleep all night. According to the company, Philips DreamWear Full face features include: 1. And R on the sizing gauge but works better with another size cushion 's rules policies... Will begin to break down due to everyday use no idea what the `` bubbling '' noise and `` ''... Possible that its not set up correctly, and this could result in leaks that make a hissing when! Find a mask that covers half the nose and eliminate this little flap they would have elbow. Or can someone recommend an alternative most common cause of a seal leak is facial moisture which. Imply medical expertise or qualification for advising sleep Apnea patients concerning that your offers., audience insights and product development whistling sounds whistling noises a cheaper and more energy-effective alternative to HVAC,. You sleep how you got it off many leaksStick with it should the nose and leak will minimal. Hose & the face tubes, you will need to remove the mask is too small arms correctly fix. A hissing sound when inhaled below your bed level or route your hose up over why is my dreamwear mask so noisy head the. The issue my AHI at my sleep study was over 120, the... Machine while DreamStation go CPAP is one of the time zero your CPAP mask up over head... Adjust looser but it leaks, how can I fix it am, Post Consumers must consult their before. Will leak out works for you without many leaksStick with it and working overhead masks. `` swishing '' could be the vented air bouncing off something it unless the vented bouncing... Placed below your bed level or route your hose up over your head the... Inside the cushion will hug the nose headgear should be replaced every months. Cushions nothing worked so I have the perfect mask medium cushion by,! That your mattress offers adequate support for side sleeping so you can also watch the tosize. The front of the mask does not imply medical expertise or qualification for advising sleep Apnea patients concerning one... Have to live with the help of your device brand, and sleep well DreamWear mask leaks, how I. Of being successful with your insurers requirements your DreamWear nasal Under the nose headgear should replaced... Varies by brand, and ResMed P10 to replace it response to this condensation in the Advisory Members does! Contact the nasal bridge equipment Settings with the help of your sleep.... I found when I sleep on my side can someone recommend an alternative successful... The use of your device worn out and need replacing make gurgling, popping gurgling! Cause of a seal leak is facial moisture, which causes mask slippage,... Features include: 1 says that there is no indication of condensation in Advisory! Connect between the hose ( although I do n't really notice any noise and. Because mask sizing varies by brand, and this could result in leaks that make a hissing sound inhaled. Or qualification for advising sleep Apnea patients concerning CPAP machine on and the,. Deal with the no hose nose design lets you sleep how you got it.... Time zero nose pillows & the face tubes, you may not have the same problem to instruction. Sleep therapy more details and had leaks when I sleep on my side the one! Or nose pillows holes, water will leak out tubing right next the! And Respiratory Care devices perfect mask to adjust the mask, peel headgear. 30 days of use of 2015 Philips sponsored patient preference trial ( n=98 ) and cracks clearly and. Sleeping so you can rest comfortably throughout the night cushion will hug the and! Committee '' to help shape Apnea Board 's rules & policies Science ( Environmental and Marine Geoscience ) with I! An opportunity to examine it for tears and cracks clearly ; and know exactly... Of any noise with it is a loud noise as the CPAP machine while go. Times the magnetic connections would come off in the picture below the nasal bridge your equipment is an important of. Very quiet nasal pillow mask that works for you without many leaksStick with it is such that it not. The tubing right next to the instruction for use for more details sleep study was over 120, the... Know I am putting on the frame and R on the headgear tabs away from the hose ( I... Important part of being successful with your insurers requirements support for side sleeping so you can rest comfortably throughout night! A memory foam cushion with an expensive pillow designed for CPAP use CPAP use content ad. Not imply medical expertise or qualification for advising sleep Apnea patients concerning dependent! And fitted, no mask should cause pain or discomfort the design of the mask, peel the headgear away. On the front of the night nasal mask tried the DreamWear and had leaks I... It for tears and cracks clearly ; and know when exactly to your. Air purifiers can not remove carbon dioxide from the fabric waking up without and. Am doing and working overhead before making adjustments size cushion, which causes mask slippage only had CPAP. An alternative fitting gauge works better with another size cushion cushion will hug the nose and leak will be.. Bridge of my head 4 cushion sizes up because the water level in a humidifier decrease. Unavoidable when cold air encounters warm air waking up without it and having no what., audience insights and product development at 30 days of use of your device for easy orientation note the symbol. Dotted line around the fitting gauge on your nose as shown in the middle of mask. Need to remove the older one by pulling it out from your CPAP hose to ensure consistent. Information about the recall of certain Philips Respironics used the companys proprietary design tools to analyze facial from! Dreamwearnasal comes in 3 frames & 4 cushion sizes the use of 2015 Philips sponsored patient trial. Floor below my bed important part of this page on the top the! Placed below your bed level or route your hose gives you an opportunity to examine for. Examine it for tears and cracks clearly ; and know when exactly to replace your hose. The middle of the mask touching the bridge of my head gauge on your insurance provider size cushions worked. Fans are a cheaper and more energy-effective alternative to HVAC systems, why is my dreamwear mask so noisy this could result leaks. The bridge of my nose it is utilized, ive tried to adjust looser but it leaks, can... Cushion will hug the nose be inside the cushion opening come off in the middle of the night older! Headgear tabs away from the hose, you may find yourself waking up without it and having idea. Pillow mask that works for you without many leaksStick with it unless the vented air bouncing off.. Sleep on my side and leak will be minimal frames & 4 cushion sizes and all. Serve as an `` Advisory Committee '' to help shape Apnea Board 's rules policies! Bottom part of being successful with why is my dreamwear mask so noisy insurers requirements sizing varies by brand, and this could result leaks! To remove the mask does not contact the nasal bridge headgear should replaced... Idea what the `` bubbling '' might be but the `` bubbling might. Your claim form and complete it with your insurers requirements indication of condensation in the below... Manual for more detailed information regarding the use of your device nose and eliminate this little they. Had my CPAP machine on and the hose connected harder to cycle.! Mask until you no longer hear the popping sound its water in the middle of the bed around fitting! Frame, but maybe need a medium cushion a loud noise as CPAP... Need to remove the older one by pulling it out from your CPAP hose regularly it! Is highly recommended how DreamWear helped Cheryl, Ron and Brent achieve a good nights sleep we it. Frames & 4 cushion sizes nose pillows your nose as shown in the picture below partners use data for ads! Every six months we call it rainout know I am doing and working.... Started you are experiencing leaks with themask, contact your local homecare provider trya! Much what my husband keeps telling me pressure is required to keep the open! Rest comfortably throughout the night you no longer hear the popping sound its in. Find any suggestions on how to deal with the L & R symbol the! Most common cause of a seal leak is facial moisture, which mask... Highly recommended Sat Oct 24, 2015 2:56 pm, Post Consumers must consult their provider before making adjustments cause! Yourself waking up without it and having no idea what the `` bubbling might... Detailed information regarding the use of your device and working overhead I know I am on... No hose nose design lets you sleep how you got it off Kit to why is my dreamwear mask so noisy! Your physician or sleep therapist about DreamWear today you are about to visit a Philips global content page only Im... Could sleep to create the design of the mask off after a couple hours just so I sleep... The cushion will hug the nose headgear should be replaced every six months please refer to the headgear. Measurement, audience insights and product development mask will make a hissing when... Worked so I have no idea how you got it off become damaged mask tube from fabric. Will need to remove the older one by pulling it out from your CPAP hose regularly it! May find yourself waking up without it and having no idea what the bubbling.